| Lone Oak Dental | |
|
802 20th St S Brookings SD 57006-4663 | |
| (605) 697-6212 | |
| Not Available |
| Full Name | Lone Oak Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 802 20th St S, Brookings, South Dakota |
| Authorized Official Name and Position | Bradley David Jordan (OWNER) |
| Authorized Official Contact | 6125322094 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lone Oak Dental 802 20th St S Brookings SD 57006-4663 Ph: (605) 697-6212 | Lone Oak Dental 802 20th St S Brookings SD 57006-4663 Ph: (605) 697-6212 |
| NPI Number | 1861869265 |
|---|---|
| Provider Enumeration Date | 09/01/2015 |
| Last Update Date | 01/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861869265 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 284 (South Dakota) | Primary |
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